Presentation Request Form

Presentation requests must be made at least 6-8 weeks in advance. To request a presentation, please submit the online Presentation Request Form below. Please note:

  • CCDPH only serves suburban Cook County.

  • CCDPH’s participation is dependent on resources, scheduling, and staff availability. Completing the presentation request form does not guarantee the agency’s participation.

  • After submitting a request, you should receive an automatic email confirmation that your form was received.

  • CCDPH staff will contact you within 1 week to follow up.

  • For more information, please email or call (708) 633-8350.

Event Details
Please note: Presentations generally last for about 1 hour plus time for questions and answers.
Topic(s) Requested - Choose up to 3.
Target Population(s) - Select all that apply.